14 дней назад
Insurance Billing Specialist (DME)
65 604 - 87 565$
Вакансия из Hirify Global, списка международных tech-компанийДля мэтча и отклика нужен Plus
Мэтч & Сопровод
Для мэтча с этой вакансией нужен Plus
Описание вакансии
Текст:
TL;DR
Insurance Billing Specialist (DME): Managing the end-to-end insurance billing cycle for durable medical equipment, from eligibility verification and claims submission to denials, appeals, and aged-account resolution with an accent on DME billing, medical coding, and reimbursement accuracy. Focus on interpreting EOBs, improving collections, maintaining HIPAA and CMS compliance, and applying AI-enabled tools without compromising accuracy.
Location: Fully remote across the United States; flexibility required to support PST/CST working hours.
Salary: $65,604–$87,565 per year, based on location, experience, qualifications, performance, role growth, and internal pay equity.
Company
A product-focused technology company serving expecting and new families through shopping, healthcare, financial, content, and registry services.
What you will do
- Verify eligibility and conduct benefit investigations through payer portals and direct payer communication.
- Submit, track, and follow up on durable medical equipment claims to accelerate reimbursement and reduce denials.
- Manage aged accounts by identifying payment blockers and driving balances to resolution.
- Review EOBs and determine whether to rebill, appeal, escalate, or close each claim.
- Prepare documented appeals and explain benefits and billing questions clearly to patients, providers, and payers.
- Partner with internal teams to improve workflows, compliance, patient experience, and AI-enabled billing tools.
Requirements
- At least 3 years of professional insurance billing and eligibility experience with direct responsibility for billing outcomes.
- Hands-on durable medical equipment billing experience.
- Experience with eligibility verification, prior authorizations, claim submission, denial management, appeals, and aged-account resolution.
- Working knowledge of CPT, HCPCS, ICD-10, HIPAA, CMS, ERISA, and ACA requirements.
- Hands-on proficiency with Brightree and NikoHealth.
- Must be located in the United States and able to support PST/CST working hours.
Nice to have
- Familiarity with Epic, Kareo, or AdvancedMD.
- Experience using AI tools to improve billing and reimbursement workflows.
Culture & Benefits
- Remote-first work across the United States and Canada, with company gatherings twice a year.
- Company-paid medical, dental, and vision insurance.
- Retirement savings plan with company matching and flexible spending accounts.
- Paid parental leave, PTO, and a company-wide paid Winter Wonder Week.
- Remote work stipend and support for physical, mental, emotional, parenting, childcare, and financial well-being.
- AI tools such as Claude and ChatGPT are provided for daily work.
Hiring process
- Interviews may be recorded and transcribed for evaluation in accordance with applicable privacy laws.
- AI is used to support application review, screening, and assessment, while final hiring decisions are made by people.
Будьте осторожны: если работодатель просит войти в их систему, используя iCloud/Google, прислать код/пароль, запустить код/ПО, не делайте этого - это мошенники. Обязательно жмите "Пожаловаться" или пишите в поддержку. Подробнее в гайде →